Policy integration: placing the spatial dimension in the health agenda. Evidence from Portugal

The significance of spatial policies for health and well-being is well recorded. While there has been an increasing body of literature illustrating the importance of including a territorial perspective in health decision-making processes, evidence shows that policy integration between spatial and health policies is still scarce. This paper aims to develop a deeper understanding of how this integration can be considered in conceptual terms and how it is actually embraced in practice by health decision-makers. Drawing upon the concept of territorial cohesion, the paper presents and discusses the results of a research held in Portugal aiming to understand this topic.     

The Pandora’s box: democratization and rule of law in Turkey

A prominent question in the literature on democracy is concerned with the role of external factors in stimulating the process of democratization and uploading rule of law. This paper tackles the following questions: How does the political conditionality of an international organization—the EU in this case—stimulate democracy in third countries? Equally important, does conditionality always have a positive impact and could it be possible to witness the EU undermining democracy in an unexpected manner? This paper addresses these questions through an analysis of the Turkish democracy in the light of its accession to the EU and through an application of the EU membership conditionality by looking at rule of law in Turkey. The general contention in the political conditionality literature is that the EU enables an acceding country to adopt its democratic principles, and facilitates transition to democracy, while strengthening rule of law. However, the Turkish transformation seems to challenge this contention. This paper proposes that the EU’s political conditionality in bringing about political transformation in Turkey as a membership precondition unexpectedly illuminated the underlying anti-democratic tendencies and tensions in Turkish politics. The democratization process in Turkey since 1999, partly stimulated by the EU, has opened up a Pandora’s box releasing the conflict between the secularists and religious conservatives in Turkey that has long been suppressed. This paper analyzes these cleavages through the prism of EU political conditionality with regards to rule of law.     

Deep learning for sex determination: Analyzing over 200,000 panoramic radiographs

The objective of this study is to assess the performance of an innovative AI-powered tool for sex determination using panoramic radiographs (PR) and to explore factors affecting the performance of the convolutional neural network (CNN). The study involved 207,946 panoramic dental X-rays and their corresponding reports from 15 clinical centers in São Paulo, Brazil. The PRs were acquired with four different devices, and 58% of the patients were female. Data preprocessing included anonymizing the exams, extracting pertinent information from the reports, such as sex, age, type of dentition, and number of missing teeth, and organizing the data into a PostgreSQL database. Two neural network architectures, a standard CNN and a ResNet, were utilized for sex classification, with both undergoing hyperparameter tuning and cross-validation to ensure optimal performance. The CNN model achieved 95.02% accuracy in sex estimation, with image resolution being a significant influencing factor. The ResNet model attained over 86% accuracy in subjects older than 6 years and over 96% in those over 16 years. The algorithm performed better on female images, and the area under the curve (AUC) exceeded 96% for most age groups, except the youngest. Accuracy values were also assessed for different dentition types (deciduous, mixed, and permanent) and missing teeth. This study demonstrates the effectiveness of an AI-driven tool for sex determination using PR and emphasizes the role of image resolution, age, and sex in determining the algorithm's performance.     

An island unmixed: European military intervention and the displacement of Crete's Muslims, 1896–1908

This article examines the displacement of the majority of Crete's Muslim population after an upheaval led to the establishment of an autonomous regime on the island in 1898, following the military intervention by a coalition of European powers (Britain, France, Italy and Russia). By drawing a connection between Cretan topography and the type of intervention, I argue that the coalition's policies played a central role in Muslim emigration from the greatest Ottoman island. The article highlights the sectarian lens through which the European decision-makers regarded relations between the island's Christian and Muslim populations. In so doing, it makes a contribution to the history of European intervention in the Ottoman Empire. The final section offers a glimpse into the diminished Muslim minority under the autonomous regime, which was established after Abdülhamid II withdrew his soldiers from Crete, signifying de facto termination of Ottoman sovereignty on the island.     

Placing sons and daughters in the church: Strategies used by the gentry of Central Catalonia to maintain social status in the 17th and 18th centuries

This study analyses strategies for placing sons and daughters used by Notaries, Doctors of Law and Honorary Citizens of Manresa in the 17th and 18th centuries. Reconstructions of several family trees show that all of the sons, except the heir, went into the church and many of the girls remained single or went into convents. The consistency of this behaviour has led to an interpretation in terms of how these families maintained their social status, given their particular way of gaining access to resources. This study traces the way the younger generations entered the church and how they returned resources to the families they came from. Celibacy excluded many sons and daughters from inheriting the family patrimony and opened the way to combining patrimonies with other families. This happened if the heir had no children and the inheritance went to the eldest daughter married to the heir of another family. Combining patrimonies was one of the strategies used to deal with the problem of declining incomes suffered by these families.     

Voting functions in the EU-15

This paper examines whether the European integration process, by transferring policy instruments to supra-national authorities, has affected voters’ evaluations of governments’ economic performance at elections. The analysis is implemented on a panel of 15 EU countries, from 1970 to 2011. Results suggest that before the Maastricht Treaty, citizens held incumbents responsible for GDP growth and for the evolution of inflation, particularly when measured relative to the EU average. After the Maastricht Treaty, there was a significant reduction in the impact of economic variables, especially inflation, on electoral outcomes. During the current economic crisis the capacity to control the budget deficit appears to be the main determinant of incumbents’ vote shares.